Organization Active NPI

Rehabilitation Medicine Specialist, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1285934950
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
252645 Issued in NY
Legal business name
REHABILITATION MEDICINE SPECIALIST, PC
Practice address
1549 Ralph Ave
Brooklyn, NY 11236-3127
Phone
(347) 722-5509
NPI assigned
Oct 28, 2010
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth J Chandler, MD
Title
Medical Director
Phone
(347) 722-5509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 252645 NY Primary

Addresses

Primary practice location

1549 Ralph Ave
Brooklyn, NY 11236-3127

Mailing address

2896 W 8TH St
#19N
Brooklyn, NY 11224-3336
Phone (347) 722-5509

National Provider Directory

National Provider Directory

Locations

1549 Ralph Ave
Brooklyn, NY 11236
Phone (347) 722-5509

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1285934950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 W 8TH ST",
            "address_2": "#19N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243336",
            "telephone_number": "347-722-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363127",
            "telephone_number": "347-722-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-722-5509",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "252645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.